Active NPI
Amy Kristine Jones, M.S.
- Speech-Language Pathologist
- Champaign, IL
National Provider Identifier
1063748895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.010422
- Practice address
- 703 Country View Dr
Champaign, IL 68122 - Phone
- (217) 366-0033
- Fax
- (217) 366-0012
- NPI assigned
- Oct 29, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.010422 | IL | Primary |
Addresses
Primary practice location
703 Country View Dr
Champaign, IL 68122
Mailing address
4102 Belmont PT.
Champaign, IL 68122
Phone (217) 366-0033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.010422 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582243200000",
"number": "1063748895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4102 BELMONT PT.",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "68122",
"telephone_number": "217-366-0033",
"fax_number": "217-366-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 COUNTRY VIEW DR",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "68122",
"telephone_number": "217-366-0033",
"fax_number": "217-366-0012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "AMY",
"middle_name": "KRISTINE",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-29",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.010422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.